DENISE KATHRYN KRACKENBERGER (ACNP) – Acute Care Nurse Practitioner, NPI 1316101082
Acute Care Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
9,652 NURSE PRACTITIONER in GA
Provider Addresses for DENISE KATHRYN KRACKENBERGER (ACNP)
6935 FULL HARVEST CT
CUMMING, GA 300284777
Phone: (706) 344-2987
Fax: (706) 344-2987
Type: Mailing
6935 FULL HARVEST CT.
CUMMING, GA 300284777
Phone: (706) 344-2987
Type: Location
6935 Full Harvest Ct.
Cumming, GA 300284777
Phone: (706) 344-2987
Type: Location
4420 Lake Boone Trl
Raleigh, NC 276077505
Phone: (919) 784-3542
Type: Location
743 Spring St NE
Gainesville, GA 305013715
Phone: (770) 219-8420
Type: Location
PO BOX 742616
ATLANTA, GA 303742616
Phone: (770) 219-8420
Type: Mailing
2700 SE STRATUS AVE UNIT 406
MCMINNVILLE, OR 971286258
Phone: (503) 435-1200
Fax: (503) 434-9572
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-01-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100125000575 | I | Nurse Practitioner | GA | TBD |
| I20220202000373 | I | Nurse Practitioner | NE | TBD |
| I20240214002738 | I | Nurse Practitioner | OR | TBD |
| I20240515001617 | I | Nurse Practitioner | CO | TBD |
| I20250106000911 | I | Nurse Practitioner | NH | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30028)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| - | GA | |
| - | GA | |
| - | GA | |
| Cardiovascular Disease (Cardiology), Interventional Cardiology | GA | |
| Cardiac Electrophysiology | GA | |
| Cardiovascular Disease (Cardiology) | GA | |
| Physician Assistant | GA | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal Medicine | GA | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | GA |
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